Basic Information
| Provider Information | |||||||||
| NPI: | 1346285574 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HERSHEY | ||||||||
| FirstName: | CURTIS | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1635 W MAIN ST | ||||||||
| Address2: | SUITE 700 | ||||||||
| City: | EPHRATA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175221119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177380660 | ||||||||
| FaxNumber: | 7177380658 | ||||||||
| Practice Location | |||||||||
| Address1: | 1635 W MAIN ST | ||||||||
| Address2: | SUITE 700 | ||||||||
| City: | EPHRATA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175221119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177380660 | ||||||||
| FaxNumber: | 7177380658 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2006 | ||||||||
| LastUpdateDate: | 08/21/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD427551 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7555773 | 01 | AETNA NON-HMO | OTHER | 1874594 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | P006866 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 1429959 | 01 | PA | AETNA HMO | OTHER | 1016282170001 | 05 | PA | MEDICAID | 107753 S1QF | 01 | PA | GEISINGER HEALTH PLAN | OTHER | 50060204 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 50061890 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 50061960 | 01 | PA | CAPITAL BLUE CROSS | OTHER | P00373601 | 01 | PA | RAILROAD MEDICARE | OTHER |